Organization Active NPI

Trudental of Auburn Surgical Center

  • General Practice Dentistry
  • Auburn, WA
National Provider Identifier
1487426409
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRUDENTAL OF AUBURN SURGICAL CENTER
Practice address
701 M St NE Ste 104
Auburn, WA 98002-4500
Phone
(253) 833-9063
Fax
(253) 833-9197
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Xingtian Xu, DDS, PHD
Title
Owner
Phone
(323) 868-6490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

701 M St NE Ste 104
Auburn, WA 98002-4500

Mailing address

701 M St NE Ste 104
Auburn, WA 98002-4500
Phone (253) 833-9063

National Provider Directory

National Provider Directory

Locations

701 M St NE
Ste 104
Auburn, WA 98002
Phone (253) 833-9063

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1487426409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 M ST NE STE 104",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024500",
            "telephone_number": "253-833-9063",
            "fax_number": "253-833-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 M ST NE STE 104",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024500",
            "telephone_number": "253-833-9063",
            "fax_number": "253-833-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUDENTAL OF AUBURN SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "XINGTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-868-6490",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.